| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.11 | $478.63 | $758.58 | |
Cigna
| Professional | $354.81 | $575.44 | $977.24 | |
United
| Professional | $426.58 | $602.56 | $1,445.44 |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.11 | $478.63 | $758.58 | |
Cigna
| Professional | $354.81 | $575.44 | $977.24 | |
United
| Professional | $426.58 | $602.56 | $1,445.44 |